NPI | 1164956611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME156755) |
Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MN 28405) |
207ZP0101X Pathology Anatomic Pathology (Licence: MN 65883) | |
207ZP0101X Pathology Anatomic Pathology (Licence: MD D89548) | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2024-05-29 |