| NPI | 1770547028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C40237) |
| Additional Taxonomies | 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: WA MD00045948) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA MD00045948) | |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine (Licence: CA C40237) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-01-04 |