| NPI | 1326201229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301091825) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: WV 24671) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2012-06-12 |