NPI | 1154701589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME145164) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 37654) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2015014050) | |
Enumeration Date | 2015-06-01 |
Last Update Date | 2020-09-22 |