| NPI | 1073516993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology Pediatric Pathology (Licence: TX H0597) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: TX H0597) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-12 |