| NPI | 1568996288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 311218) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 311218) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-07-07 |