| NPI | 1063433795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD427124) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD427124) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-04-13 |