| NPI | 1356350524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX S8007) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 75678) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: MA 75678) | |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2026-06-24 |