| NPI | 1386745610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX M0322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M0322) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-11-25 |