| NPI | 1033117841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0213X Pathology Pediatric Pathology (Licence: NY 223880) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: NY 223880) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2011-11-29 |