| NPI | 1306897533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: MO 101053) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 101053) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-09 |