| NPI | 1851564447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 51949) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: AZ 48373) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2020-10-06 |