| NPI | 1851394019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.127255) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 36654) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-10-08 |