| NPI | 1205839800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 16894) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 16894) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-12-23 |