| NPI | 1962775338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 179903-1) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 179903-1) |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME 0065460) | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NJ 65164) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME 0065460) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 65164) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |