| NPI | 1295099240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 56509) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 56509) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2021-01-08 |