| NPI | 1487974994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MT196749) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: PA MT196749) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD450956) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-01-16 |