| NPI | 1902001514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 264869) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 242314) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: TX N5648) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2012-08-05 |