| NPI | 1477966992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX BP20060926) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WV 36242) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2026-03-19 |