| NPI | 1255591624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 282752) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT193340) |
| 207ZC0500X Pathology, Cytopathology (Licence: NY 282752) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-02-08 |