| NPI | 1679864391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 59263) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MN 59263) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2024-03-26 |