| NPI | 1811921570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 26446) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: WA 26446) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-11-04 |