NPI | 1053679951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD0000052350) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: TN MD0000052350) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2015-09-15 |