| NPI | 1811950082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV 7778) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD20634) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: NV 7778) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: DC MD20634) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-01-11 |