| NPI | 1992253421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME150310) |
| Additional Taxonomies | 207ZM0300X Pathology, Medical Microbiology (Licence: UT 11747131-1205) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2022-01-11 |