| NPI | 1205178696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A136778) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA 136778) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2018-06-16 |