| NPI | 1649330895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA05387900) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: NJ 25MA05387900) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |