| NPI | 1851667919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: UT 8780977-1205) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: UT 8780977-1205) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 60826572) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0067034) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2025-10-28 |