| NPI | 1073016366 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 76119) | 
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: AZ 76119) | 
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 314756) | |
| Enumeration Date | 2018-03-13 | 
| Last Update Date | 2025-08-18 |