| NPI | 1588004311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: ND 16646) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: IA MD-44084) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA R-9830) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-09-10 |