| NPI | 1790762508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 37065) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: KY 37065) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2009-07-29 |