| NPI | 1497171706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 193653) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 193653) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |