| NPI | 1629043948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD042248L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD042248L) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2010-03-26 |