| NPI | 1184987158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX V5789) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 36924) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2025-07-01 |