| NPI | 1740235290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 216373-4405) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: UT 216373-4405) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-01-25 |