| NPI | 1629420757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD61164652) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 267791) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2025-04-02 |