| NPI | 1871103663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 73089) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 204911) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2025-08-08 |