| NPI | 1326078544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MI 4301087771) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35075583) |
| 174400000X Specialist (Licence: MI 4301087771) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-05-22 |