| NPI | 1003051269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OR MD169519) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: OR MD169519) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX P3552) | |
| 207ZD0900X Pathology Dermatopathology (Licence: TX P3552) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2014-12-08 |