| NPI | 1538366943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD452839)  | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OK 25767)  | 
| Enumeration Date | 2007-06-29 | 
| Last Update Date | 2016-07-21 |