| NPI | 1962503771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: FL ME124044) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: OH 35-07-7756) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-09-14 |