| NPI | 1235289950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 147796) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 147796) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-01-09 |