| NPI | 1073977690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SD 12661) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 27510) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 64160) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2021-09-02 |