| NPI | 1326021965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology Forensic Pathology (Licence: MA 227119) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 227119) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-08 |