| NPI | 1750338190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MI 4301107752) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD428139) |
| 207ZN0500X Pathology Neuropathology (Licence: MI 4301107752) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-09-21 |