| NPI | 1588977060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P9510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P9510) |
| 207R00000X Internal Medicine (Licence: IL 125.058910) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2023-12-12 |