| NPI | 1053521823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: FL ME103988) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL ME103988) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME103988) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-01-10 |