| NPI | 1366947335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OK 42712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 12345) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 125074853) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2025-07-18 |