NPI | 1679584718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 157124) |
Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: MA 157124) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-08-20 |