| NPI | 1265713358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 51351) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: TX P0709) |
| 207ZC0500X Pathology, Cytopathology (Licence: KY 51351) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P0709) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2018-08-16 |