| NPI | 1538306717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 171415-1) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 171415-1) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-13 |