| NPI | 1497714893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZN0500X Pathology Neuropathology (Licence: PA MD070261L) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD070261L) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD070261L) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |