NPI | 1154377000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: TX L3158) |
Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: RI MD10517) |
207ZP0213X Pathology Pediatric Pathology (Licence: RI MD10517) | |
207ZP0213X Pathology Pediatric Pathology (Licence: TX L3158) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2021-09-27 |