| NPI | 1437138054 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 28541) | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 28541) | 
| Enumeration Date | 2006-01-12 | 
| Last Update Date | 2021-12-03 |