| NPI | 1447494430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 65623) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 254008) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WI 62310) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2020-10-15 |