| NPI | 1629046529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 41885) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CO 41885) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 42579) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2014-11-26 |