| NPI | 1770527327 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G74478) | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA G74478) | 
| 207ZN0500X Pathology, Neuropathology (Licence: CA G74478) | |
| Enumeration Date | 2006-06-15 | 
| Last Update Date | 2021-02-18 |