| NPI | 1710178447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: TX N3696) |
| Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: TX N3696) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2010-09-21 |