| NPI | 1629410121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35.138922) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2013020689) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME131663) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: PA MT210541) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2020-08-12 |