| NPI | 1154594976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2016008383) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MN 106898) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MN 56816) | |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2016-06-16 |