NPI | 1396996773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: DC MD037717) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD 232727) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2012-05-16 |