| NPI | 1336429638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 078762) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD464268) |
| 207ZC0500X Pathology, Cytopathology (Licence: PA MD464268) | |
| 207ZH0000X Pathology, Hematology (Licence: WI 62856) | |
| 207ZH0000X Pathology, Hematology (Licence: PA MD464268) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2018-10-16 |