| 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 |