| NPI | 1912923087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301067670) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME 015981) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-09-05 |