| NPI | 1780186528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 2079) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 2079) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-07-17 |