| NPI | 1760632087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 15438) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N0236) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 48296) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2020-08-21 |