| NPI | 1922045277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KS 0420696) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: KS 0420696) |
| 207ZH0000X Pathology Hematology (Licence: KS 0420696) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2012-10-05 |