| NPI | 1760610455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MI 5101010300) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 5101010300) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |