| NPI | 1639462781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NV 14752) |
| Additional Taxonomies | 207ZP0213X Pathology Pediatric Pathology (Licence: NV 14752) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2021-12-09 |