| NPI | 1518308394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 52396) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: KY 52396) |
| 207ZI0100X Pathology Immunopathology (Licence: KY 52396) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-03-18 |