| NPI | 1982080982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 72750) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 42936) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2023-10-11 |