| NPI | 1104892348 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME152373)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-27150)  | 
| 207ZC0500X Pathology, Cytopathology (Licence: KS 04-27150)  | |
| Enumeration Date | 2006-02-27 | 
| Last Update Date | 2024-06-06 |