| NPI | 1811083009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WI 21422020) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: WI 52D0391395) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-11-04 |