NPI | 1255820148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD476300) |
Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MD D96720) |
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MD 1255820148) | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2024-06-24 |