| NPI | 1366964397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 66912) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT214609) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD474689) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 69341) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-01-12 |