| NPI | 1578535050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD024161E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD024161E) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2010-03-22 |