| NPI | 1285631481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ R73277) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD25336) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2012-06-10 |