| NPI | 1952379083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00045660) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD00045660) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-08-29 |