| NPI | 1003843640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 23983) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 18693) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-01-16 |