| NPI | 1386950384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MS 21283) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: NY 296142-1) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: SC 30590) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 296142-1) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2018-10-21 |