| NPI | 1750420782 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 45391) | 
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: AZ 45391) | 
| Enumeration Date | 2007-02-06 | 
| Last Update Date | 2021-06-14 |