| NPI | 1942270178 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX N2614) | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MN 39654) | 
| Enumeration Date | 2006-01-23 | 
| Last Update Date | 2015-09-21 |