| NPI | 1104183490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.133392) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: OH 35.133392) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2023-01-20 |