| NPI | 1730409673 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-38489)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A128758)  | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX 559145)  | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2015033185)  | |
| Enumeration Date | 2010-06-02 | 
| Last Update Date | 2021-12-17 |