| NPI | 1396724266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A89453) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A89453) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2024-08-05 |