| NPI | 1134129687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: VA 0101280234) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CO 42333) |
| 208D00000X General Practice (Licence: CO 42333) | |
| 208D00000X General Practice (Licence: VA 0101280234) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2024-06-30 |