| NPI | 1972763415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX N9764) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 241406) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2011-10-31 |