| NPI | 1528553567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 292544) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 275876) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-05-11 |