| NPI | 1841289592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 56335) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 56335) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MD417778) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-10-06 |