| NPI | 1679187876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 34515) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT220725) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 76074) | |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2025-07-30 |