| NPI | 1215927009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: CO 27238) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CO 27238) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY TP919) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 51929) | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CO 27238) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-02-26 |