| NPI | 1750520185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VT 042-0011764) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: VT 0420011764) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2020-02-21 |