| NPI | 1770103921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT221126) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT221126) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2022-05-12 |