| NPI | 1750591483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: IA 38786) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: ID M-15424) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA R-7790) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-12-07 |