| NPI | 1417420720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX T1455) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OR MD188448) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2021-06-24 |