| NPI | 1073704805 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MD D0058281)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0058281)  | 
| Enumeration Date | 2007-08-07 | 
| Last Update Date | 2007-08-07 |