| NPI | 1669681912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD440558) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT190787) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-06-26 |