| NPI | 1003865098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301106660) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 044042) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-02-10 |