| NPI | 1740245299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: UT 7817974-1205) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35083002B) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-12-03 |