| NPI | 1255318796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: MN 45790) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MT MED-PHYS-LIC-11613) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2024-08-06 |