| NPI | 1134487234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 61671) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IA MD-45380) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2022-01-18 |