| NPI | 1770861957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZH0000X Pathology Hematology (Licence: CA A90893) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A90893) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |