| NPI | 1124068978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 49278) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MN 49278) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 48926) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 49278) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-10-06 |