| NPI | 1154680957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 72368) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: TX R4213) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: MA 265569) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2023-01-05 |