| NPI | 1316966401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 017217) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: 017217LA) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-04-12 |