| NPI | 1366880692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A139202) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A139202) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2019-06-19 |