| NPI | 1740353002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 49285) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 222111) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-08-01 |