| NPI | 1265845234 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101266026) | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 2018-00199) | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC LL36936) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2018-00199) | |
| Enumeration Date | 2014-06-08 | 
| Last Update Date | 2019-07-02 |