| NPI | 1730389362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA C146702) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA 146702) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2020-05-19 |