| NPI | 1003589656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301505330) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA C168920) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-09-02 |