| NPI | 1689800229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: TX T3488) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: CA A117810) |
| 207ZC0006X Pathology Clinical Pathology (Licence: TX T3488) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2022-07-22 |