| NPI | 1447646021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2021009741)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2021009741)  | 
| 207ZP0213X Pathology, Pediatric Pathology (Licence: PA MT217624)  | |
| Enumeration Date | 2015-04-10 | 
| Last Update Date | 2025-05-22 |