| NPI | 1821356650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NV DO2421) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NV DO2421) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2018-07-09 |