| NPI | 1760681381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 31764) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL29919) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2022-07-21 |