| NPI | 1831290642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: WA MD60021228) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35-08-0694) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-02-08 |