| NPI | 1780827824 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2014019855)  | 
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: MO 2014019855)  | 
| Enumeration Date | 2009-04-18 | 
| Last Update Date | 2018-02-26 |