| NPI | 1770596876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.026379) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: LA 026379) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-08-26 |