| NPI | 1629336540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 54872) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CT 54872) |
| 207ZH0000X Pathology, Hematology (Licence: CT 54872) | |
| Enumeration Date | 2012-04-28 |
| Last Update Date | 2019-07-17 |