| NPI | 1508251729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AR E-14277) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301116691) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-08-11 |