NPI | 1922252576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA DO.000314) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA DO000314) |
208D00000X General Practice (Licence: SC 1303) | |
208D00000X General Practice (Licence: GA 061418) | |
Enumeration Date | 2008-11-10 |
Last Update Date | 2019-10-09 |