| NPI | 1174015069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 330402) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI LP04337) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 70690) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-07-16 |