| NPI | 1841519006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA03424000) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA03424000) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2024-05-16 |