| NPI | 1316566789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 78780) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 85799-20) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125076737) | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-12-10 |