| NPI | 1083078729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME175271) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL ME175271) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2025-08-28 |