| NPI | 1114965290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301062769) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: MI 4301062769) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-04-28 |