| NPI | 1255436176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME61852) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME61852) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-11-04 |