| NPI | 1821212630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA08651100) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 234097) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-07-21 |