| NPI | 1275523995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: KY 22426) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 22426) |
| 174400000X Specialist (Licence: KY 22426) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35060462) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: OH 35060462) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: IN 01057040A) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-09-16 |