| NPI | 1881080851 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 10108373-1205)  | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036.148218)  | 
| Enumeration Date | 2015-04-07 | 
| Last Update Date | 2021-11-12 |