| NPI | 1124313218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 8437516-1205) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: UT 8437516-1205) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036137822) | |
| 282N00000X General Acute Care Hospital (Licence: UT 8437516-1205) | |
| 282N00000X General Acute Care Hospital (Licence: SC 33780) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-11-23 |