| NPI | 1245765502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A163576) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA Not yet available) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2023-05-12 |