| NPI | 1851659064 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MI 4301097773)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301097773)  | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2012019898)  | |
| Enumeration Date | 2012-04-25 | 
| Last Update Date | 2013-07-02 |