| NPI | 1386206845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 336819) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2019016848) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2024-03-04 |