NPI | 1710206396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD457158) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 294544) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA10464500) | |
Enumeration Date | 2010-05-22 |
Last Update Date | 2020-07-30 |