| NPI | 1821018292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: UT 6540633-1205) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: OH 35-08-4455) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-12-09 |