| NPI | 1548245087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D54739) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: MD D054739) |
| 207R00000X Internal Medicine (Licence: MD D54739) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-12-11 |