| NPI | 1003850769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 38673) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MS 19251) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-11-08 |