| NPI | 1033504873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 55170) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 57.250364) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-10-13 |