| 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 |