| NPI | 1770160525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 77571) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CT 77571) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-09-20 |