| NPI | 1518120567 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SD 10454) | 
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NV 15317) | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT444815) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 15317) | |
| Enumeration Date | 2008-07-09 | 
| Last Update Date | 2024-06-20 |