| NPI | 1467433086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 34285) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 034285) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-03-02 |