| NPI | 1104894146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 113624) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1136241) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-05-08 |