| NPI | 1659620003 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D0097535)  | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2012015093)  | 
| Enumeration Date | 2012-08-30 | 
| Last Update Date | 2025-04-21 |