| NPI | 1326289455 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME107353)  | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: PR 16464)  | 
| Enumeration Date | 2009-03-19 | 
| Last Update Date | 2010-10-04 |