| NPI | 1356479828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-00610) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: NC 2008-00610) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-03-07 |