| NPI | 1942630769 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 286846) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 286846) | 
| Enumeration Date | 2013-11-14 | 
| Last Update Date | 2021-04-26 |