| 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 |