| NPI | 1538316773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NJ 25MA03879100) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 108607) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2010-05-24 |