| NPI | 1437502648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 12108605-1205) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 267920) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2021-11-15 |