| NPI | 1588921258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 60930) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 27636) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-08-06 |