| NPI | 1982127361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 45949) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: PR 21244) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2023-07-06 |