| NPI | 1659513174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 268634) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: RI MD14944) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: RI MD14944) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2022-08-10 |