| NPI | 1679524334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A87798) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A87798) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-12-15 |