| NPI | 1962517854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 92093) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 216077) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-08-19 |