| NPI | 1346317658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL TRN17705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL29142) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-02-06 |