| NPI | 1033630058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX 47909) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2021013115) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX 47909) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-12-13 |