| NPI | 1588339881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL 151942) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 22664) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 151942) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-06-07 |