| NPI | 1417574831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2020015732) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX BP10085845) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-08-26 |