| NPI | 1801870308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX M1898) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: DC MD034304) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 47156) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |