| NPI | 1366420937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MD426646) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NY 231272) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |