| 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 |