| NPI | 1568817724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 5101024514) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 5101024514) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2025-08-13 |