| NPI | 1386722775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 215222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215222) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |