NPI | 1235518382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 75868) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 248567) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD453902) | |
Enumeration Date | 2015-05-21 |
Last Update Date | 2016-11-04 |