| NPI | 1598806226 |
|---|---|
| Former Name | SANDRA DIANE BIRD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME 104861) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI MD-13191) |
| 208D00000X General Practice (Licence: HI MD-13191) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-09-21 |