| NPI | 1316000904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101234656) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: VA 0101234656) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-01-08 |