| NPI | 1275570962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME69606) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 74123) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2026-01-22 |