NPI | 1134149578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301060597) |
Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: OH 35-08-4632) |
207ZP0101X Pathology Anatomic Pathology (Licence: MD D70194) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2024-08-23 |