| NPI | 1063465466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MO 36005) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: MO 36005) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-02-09 |