| NPI | 1538222955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 246207) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0116021306) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-07-01 |