| NPI | 1114308640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology Pediatric Pathology (Licence: OH 35.142296) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35.142296) |
| 207Q00000X Family Medicine (Licence: IN 11018335A) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 50567) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.142296) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2025-07-10 |