| NPI | 1144458811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 43066) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 251276) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 95644) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2013-08-15 |