| NPI | 1780608604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 16441) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: SC 16441) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-10-20 |