| NPI | 1316079627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: OH 062131) |
| Additional Taxonomies | 207ZP0104X Pathology, Chemical Pathology (Licence: PA md072583l) |
| 208D00000X General Practice (Licence: OH 062131) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-07-08 |