| NPI | 1124555164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ R76167) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: AZ 65174) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-06-06 |