| NPI | 1366798555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2015014438) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.098230) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35.098230) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: KS 04-38042) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2015-07-01 |