| NPI | 1821206962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 43373) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: VA 0101241038) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-12-08 |