| NPI | 1760667315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX N3562) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: TX N3562) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TX N3562) | |
| 207Q00000X Family Medicine (Licence: TX N3562) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2016-08-10 |