| NPI | 1265633077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NV 12851) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA A108582) |
| 207ZC0500X Pathology Cytopathology (Licence: NV 12851) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD430805) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A108582) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2018-10-12 |