| NPI | 1588640007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX H5594) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H5594) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2022-09-20 |