| NPI | 1568848802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: CA A144516) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 144516) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2020-08-24 |