| NPI | 1871856120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX R4051) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX BP10055340) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2012018917) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-07-21 |