| NPI | 1356628481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301063621) |
| Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: MI 4301063621) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |