| NPI | 1487633871 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CO 29528)  | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CO DR29828)  | 
| Enumeration Date | 2006-01-13 | 
| Last Update Date | 2012-09-28 |