| NPI | 1619392289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35139345) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT205443) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35139345) | |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2024-01-03 |