| NPI | 1164810156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NJ 25MB10072100) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: PA OS019944) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 277750) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA OS019944) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2022-06-10 |