| NPI | 1760808109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 74333) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MS 783L) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 37720) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2021-09-14 |