| NPI | 1073650925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A69393) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: CA A69393) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-10-01 |