| NPI | 1285861997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 54331) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 54331) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 105607) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 241722) | |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2020-10-06 |