NPI | 1619248671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX R0296) |
Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: TX R0296) |
Enumeration Date | 2012-01-23 |
Last Update Date | 2018-07-25 |