| NPI | 1376679001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-00098) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: NC 2009-00098) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-03-07 |