| NPI | 1164662599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 247164) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 247164) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2024-04-04 |