| NPI | 1275856163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD D0080062) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0080062) |
| 202C00000X Independent Medical Examiner (Licence: MD D0080062) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2023-07-28 |