| NPI | 1770804924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NH 18971) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME124708) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-244106) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2018-10-05 |