| NPI | 1588856413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology Forensic Pathology (Licence: MN 54524) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 20452) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 54524) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-08-23 |