| NPI | 1386858140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX N6407) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301083957) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-02-04 |