| NPI | 1679065585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX U5745) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT215763) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD476215) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-07-24 |