| NPI | 1487650966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G62356) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G62356) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-06 |