| NPI | 1417322405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 100469) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004414) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2023-06-14 |