| NPI | 1871502625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 048592) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 048592) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2011-07-08 |