| NPI | 1215256409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 57654) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 57654) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2016-02-25 |