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 |