| NPI | 1912361825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX T3790) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: TX T3790) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-03-31 |