| NPI | 1720240724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2020013214) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX P2669) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-09-09 |