| NPI | 1730611070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101271492) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: VA 0101271492) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-04-18 |