| NPI | 1255577094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 4114) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 233277) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 20A10247) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2018-03-21 |