NPI | 1932492790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0060036) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 30707) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WY 11807A) | |
Enumeration Date | 2011-05-25 |
Last Update Date | 2020-05-01 |