| NPI | 1740627884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 27089) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: RI MD16167) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-07-21 |