| NPI | 1326337247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 261922) |
| Additional Taxonomies | 207ZP0213X Pathology Pediatric Pathology (Licence: MA 261922) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 261922) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2015-10-15 |