| NPI | 1912357138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 277749) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 267134) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2019-09-24 |