| NPI | 1225028483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 27314) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: MA 27314) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2009-08-18 |