| NPI | 1164611604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX S8263) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 246036) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A101143) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2021-05-27 |