| NPI | 1700886850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P4101) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: TX P4101) |
| 207ZN0500X Pathology, Neuropathology (Licence: TX P4101) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2013-02-06 |