| NPI | 1053678896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 281105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 281105) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-04-06 |