| NPI | 1972503787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD054907L) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: PA MD054907L) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2013-05-03 |