| NPI | 1760455612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 178014) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 179258) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-07-15 |