| NPI | 1861451718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NM 2001-344) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NM 2001344) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2017-04-17 |