| NPI | 1972692416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MT 11965) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC LL27058) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WY 8113A) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-04-13 |