| NPI | 1326081035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D71628) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 25970) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-11-25 |