| NPI | 1588976112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX S9603) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 35445) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-12-02 |