| NPI | 1194073569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 55572) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 106194) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2023-01-25 |