| NPI | 1659328813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA MD00046264) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00046264) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MD D58362) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2025-04-14 |