| NPI | 1952310427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 20767) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000020767) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-08-15 |