| NPI | 1144510371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 13891982-1204) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS11932) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: CO DR0051668) | |
| 208D00000X General Practice (Licence: CO DR0051668) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2024-03-29 |