| NPI | 1235124363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 34365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2005002240) |
| 207ZH0000X Pathology, Hematology (Licence: TN 34365) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-08-15 |