| NPI | 1952703290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301508322) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MN 63128) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME146923) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2023-06-29 |