NPI | 1215315460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZF0201X Pathology Forensic Pathology (Licence: FL ME138831) |
Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX BP10053403) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2019-05-30 |