| NPI | 1417913807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101235412) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: VA 0101235412) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2025-12-19 |