NPI | 1881256907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: NY 1234567) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 102723) |
Enumeration Date | 2019-06-29 |
Last Update Date | 2025-03-15 |