| NPI | 1780048876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD204200) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA ML60658126) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A167776) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-04-17 |