| NPI | 1861407371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD60636108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD25688) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 261625) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-07-30 |