| NPI | 1104020775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N1690) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX BP1-0016584) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-10-15 |