| NPI | 1902392822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology Clinical Pathology (Licence: FL DN23465) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN23465) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-09-11 |