| NPI | 1740625292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: CA 20A17684) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 12204) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-05-06 |