| NPI | 1780668517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101246753) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: VA 0101246753) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD461904) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD21135) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-08-15 |