| NPI | 1376934893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 277910) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101255219) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: DC md040278) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |