| NPI | 1902055569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: NJ 25MA07394300) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: NY 214891) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |