| NPI | 1154671865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 60529141) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: WA 60529141) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2015-07-28 |