| NPI | 1407347909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 012961) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PR 012961) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-07-23 |