| NPI | 1932122678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD041218E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD041218E) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-31 |