| NPI | 1659608784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: HI MD-15775) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD15775) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2025-05-27 |