| NPI | 1063736601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2008015503) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AZ 54951) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2021-03-05 |