| NPI | 1588840706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX N1415) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: CT 390200000X) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: TN 43486) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2021-06-21 |