| NPI | 1992891915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 00027256) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 255449) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: NY 255449) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-07-01 |