| NPI | 1770547929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WA MD00036734) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: WA MD00036734) |
| 207ZH0000X Pathology Hematology (Licence: OR MD203948) | |
| 207ZH0000X Pathology Hematology (Licence: MT MEDPHYSCOMLIC138981) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OR MD203948) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MT MEDPHYSCOMLIC138981) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2025-08-19 |