| NPI | 1821331778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA10661600) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NJ 25MA10661600) |
| 207ZH0000X Pathology, Hematology (Licence: NJ 25MA10661600) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-10-03 |