| NPI | 1861403313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX F9213) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TX f9213) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-01-26 |