| NPI | 1982727608 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD00045019) | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A94841) | 
| Enumeration Date | 2007-04-09 | 
| Last Update Date | 2014-11-12 |