| NPI | 1720062102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: SC 31454) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: SC 31454) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: NC 200300874) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 200300874) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-11-12 |