| NPI | 1114151933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 124257) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: GA 77393) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 30675) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2020-09-22 |