| NPI | 1487087052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2015036302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0004948) |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2019-05-30 |