| NPI | 1578790655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: CA A128088) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A128088) |
| 207ZH0000X Pathology, Hematology (Licence: MN 66600) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A128088) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 66600) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: MN 66600) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2021-07-12 |