| NPI | 1124088158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY TP034) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MI 4301073234) |
| 207ZC0500X Pathology, Cytopathology (Licence: MI 4301073234) | |
| 207ZH0000X Pathology, Hematology (Licence: MI 4301073234) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301073234) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-06-01 |