| NPI | 1912059692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX N8698) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036109964) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX N8698) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-03-28 |