| NPI | 1972565273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC 19801) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: SC 19801) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-03-02 |