| NPI | 1942794649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 279988) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 1942794649) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 1942794649) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-06-25 |