NPI | 1992097273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CT 55453) |
Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CT 55453) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2016-07-14 |