| NPI | 1629464912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 79582) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: GA 79582) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2026-07-08 |