| NPI | 1164735262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: OH 128632) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.128632) |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2023-02-09 |