| NPI | 1710074620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 246286) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: MA 246286) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD08686) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2026-05-05 |