| NPI | 1003966292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301098763) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301098763) |
| 207ZH0000X Pathology, Hematology (Licence: CA A110972) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301098763) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-06-21 |