| NPI | 1609836113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PR 12527) |
| Additional Taxonomies | 246Q00000X Specialist/Technologist, Pathology (Licence: PR 012527) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2013-03-26 |