| NPI | 1003091661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N5409) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: TX N5409) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2010-06-28 |