| NPI | 1609168764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX P3810) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101246639) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 260122) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-01-06 |