NPI | 1447646021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: PA MT217624) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2021009741) |
207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2021009741) | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2021-03-24 |