| NPI | 1639517535 |
|---|---|
| Former Name | THERESA IRENE DALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 27808) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 27808) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2024-07-22 |