| NPI | 1134567829 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: AZ 58445)  | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AZ 58445)  | 
| Enumeration Date | 2013-06-05 | 
| Last Update Date | 2020-10-12 |