| NPI | 1952491730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NJ MA58158) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD045264E) |
| 207ZP0213X Pathology Pediatric Pathology (Licence: NJ MA58158) | |
| 207ZP0213X Pathology Pediatric Pathology (Licence: PA MD045264E) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-04-22 |