| NPI | 1588727721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WI 55497-20) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NM MD2010-0250) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-01-05 |