| NPI | 1043399769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: NY 187573) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: NJ MA7212) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MN 34487) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |