| NPI | 1114960267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NV 5850) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX G9334) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A46175) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |