| NPI | 1760704092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35038857) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: WV 10574) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |