| NPI | 1417005802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60732094) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01062999A) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-02-15 |