NPI | 1255628640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: UT 8437499-1205) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: FL ME132726) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME132726) | |
Enumeration Date | 2011-07-06 |
Last Update Date | 2022-07-21 |