| NPI | 1902043144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 237835) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: MA 237835) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-12 |