| NPI | 1588637664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD065880L) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PA 39d1074950) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2016-07-27 |