NPI | 1528553005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD70010398) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD70010398) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: WA MD70010398) | |
Enumeration Date | 2018-06-26 |
Last Update Date | 2025-10-06 |