| NPI | 1215392618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: OH 35134312) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MT204116) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2018-08-28 |