NPI | 1174968564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZF0201X Pathology Forensic Pathology (Licence: KY 50342) |
Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY R3263) |
Enumeration Date | 2013-04-30 |
Last Update Date | 2017-06-29 |