| NPI | 1790756369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX M3838) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101034949) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-08-14 |