| NPI | 1841502820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 248805) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD454582) |
| 208600000X Surgery (Licence: SC LL32857) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-12-29 |