| NPI | 1427303437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR R-3150) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: AR R-3150) |
| 282NR1301X General Acute Care Hospital Rural (Licence: AR R-3150) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |