| NPI | 1861029613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 98762) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 98762) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: GA 98762) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-08-07 |