| NPI | 1366489361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME43830) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME43830) |
| 207ZC0500X Pathology, Cytopathology (Licence: MI 4301057149) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301057149) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-07-21 |