| NPI | 1053526053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 045461) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: CT 045461) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2015-11-09 |