| NPI | 1790217404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 310688) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 310688) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-08-22 |