| NPI | 1912168907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301103616) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301103616) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA L-236220) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2013-09-03 |