| NPI | 1609134543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA09399700) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: PA MD481991) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD481991) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NJ 25MA09399700) | |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2024-05-01 |