| NPI | 1629330253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX U8279) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: CA A137329) |
| 207ZH0000X Pathology, Hematology (Licence: TX U8279) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A137329) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NY 305914) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2024-04-23 |