| NPI | 1124254586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2013-0554) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OK 27076) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2016-12-27 |