| NPI | 1821097676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SD 1737) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 30859) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 45267) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2014-08-25 |