| NPI | 1528353547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA09719300) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 72252) |
| 207ZC0500X Pathology, Cytopathology (Licence: CT 72252) | |
| 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA09719300) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2022-09-16 |