| NPI | 1962598854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME128387) |
| Additional Taxonomies | 246Q00000X Spec/Tech, Pathology (Licence: TN 246Q00000X) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-09-06 |