| NPI | 1639498439 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35123711) | 
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: OH 35123711) | 
| Enumeration Date | 2010-05-19 | 
| Last Update Date | 2019-11-19 |