| NPI | 1578550430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NH 9077) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ME 014091) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 212696) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VT 0420008160) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ID M5487) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-08 |