| NPI | 1023004785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 18424) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: KY 18424) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-11-22 |