| NPI | 1255491890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D61095) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101235373) |
| 246QC2700X Spec/Tech, Pathology, Cytotechnology (Licence: DC MD034614) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-11-30 |