| NPI | 1568602167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 241961) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 241961) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 241961) | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2023-11-06 |