| NPI | 1376959981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125.069986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014020112) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2018-03-17 |