| NPI | 1174576151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 41392) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: RI MD11510) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-11-25 |