| NPI | 1659626091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 257821) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: MA 257821) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2016-04-15 |