| NPI | 1316171762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: CT 57170) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: CT 57170) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD444701) | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2017-12-08 |