| NPI | 1225412851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: WI 76200) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA R-10231) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: WI 76200) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2021-12-02 |