| NPI | 1255389052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 21951) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: AZ 21951) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-11-17 |