| NPI | 1063855062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME 115418) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME115418) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: FL ME 115418) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2016-06-09 |