| NPI | 1336674993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: UT 10960517-1205) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 10960517-1205) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-03-15 |