| NPI | 1114947603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX L7817) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A83665) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-05-16 |