| NPI | 1881058550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 64224) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ZZ 0000005339) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 27585) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-08-26 |