| NPI | 1295842169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS T-4508) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: AL DO.1232) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-08-05 |