| NPI | 1134583776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 282827) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 64107) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 27700) | |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2022-12-12 |