| NPI | 1629079520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS13725) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: MO 36976) |
| 207Q00000X Family Medicine (Licence: MO 36976) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2021-07-01 |