| NPI | 1780664920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NE 32770) |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: KS 04-30420) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 0430420) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 04-30420) | |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2021-02-23 |