| NPI | 1316200918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 2016-01696) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: NC 2016-01696) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: PA MD450382) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-11-21 |