| NPI | 1093242604 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: AR E13142) | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35133222) | 
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 288267-1) | |
| Enumeration Date | 2017-05-12 | 
| Last Update Date | 2023-11-06 |