NPI | 1043732142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA 192028) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 311080) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA 89110152) | |
Enumeration Date | 2017-07-10 |
Last Update Date | 2024-03-05 |