| NPI | 1619963352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX M9846) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: MI 4301086458) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2023-05-09 |