| NPI | 1508051012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 246554) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: PA MD427641) |
| 207ZC0500X Pathology Cytopathology (Licence: NJ 25MA08747700) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2025-02-03 |