| NPI | 1649582412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 254973) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD438513) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101250492) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 50465) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2012-03-03 |