| NPI | 1568686400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 235374) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: ME MD17467) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 36240) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-09-05 |