| NPI | 1154636462 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX Q6363) | 
| Additional Taxonomies | 174400000X Specialist (Licence: TX Q6363) | 
| Enumeration Date | 2010-08-11 | 
| Last Update Date | 2025-09-19 |