| NPI | 1891010609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD450665) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: SC 40193) |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: AZ 52498) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2016-09-23 |