| NPI | 1275503088 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 91564)  | 
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 48377)  | 
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 226859)  | |
| Enumeration Date | 2006-01-24 | 
| Last Update Date | 2022-12-04 |