| NPI | 1881618734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-00941) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NC 2006-00941) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-01-08 |