| NPI | 1770923302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA MD-44276) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA R-9865) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IA MD-44276) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-05-23 |