| NPI | 1245233626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 25558) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: KY 25558) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2021-02-22 |