| NPI | 1740686062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: CA G76638) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: CA G76638) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |