| NPI | 1619187945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D68653) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 103661) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 51167) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 25701) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-11-09 |