| NPI | 1588032486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: RI MD16529) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: RI LP03297) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2022-09-14 |