NPI | 1255469177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD21603) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101230748) |
174400000X Specialist (Licence: MD D0057312) | |
174400000X Specialist (Licence: PA MD073754L) | |
174400000X Specialist (Licence: GA 053710) | |
174400000X Specialist (Licence: DC MD21603) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101230748) | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2022-10-25 |