| NPI | 1811038052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OK 23460) |
| Additional Taxonomies | 207ZP0213X Pathology Pediatric Pathology (Licence: OK 23460) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2017-01-23 |