| NPI | 1790049120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MS 24885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2537) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2020-01-20 |