| NPI | 1083930689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 67323) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 289842) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2021-02-25 |