| 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 |