| NPI | 1033165600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME148185) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: LA 23037) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-01-17 |