| NPI | 1689105884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME158112) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: FL ME158112) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-07-19 |