| NPI | 1154531333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX P4288) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: LA 201747) |
| 207ZC0006X Pathology Clinical Pathology (Licence: LA 201747) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-03-01 |