| NPI | 1285635508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 06781R) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: LA 06781R) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-02-03 |