| NPI | 1912143835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ R71171) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: CA A110863) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2012-10-24 |