| NPI | 1578915500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: KS 04-44138) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA 143554) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2023-09-13 |