| NPI | 1750353280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C54789) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD424156) |
| 174400000X Specialist (Licence: CA C54789) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-09-03 |