| NPI | 1336459619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: WA 60381323) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2010013473) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2013-07-16 |