| NPI | 1669867693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: IA MD-49495) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: IA MD-49495) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 65830) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 29136) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-01-22 |