| NPI | 1578764999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: AZ 49315) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: AZ 49315) |
| 207ZP0007X Pathology Molecular Genetic Pathology (Licence: AZ 49315) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2018-03-21 |