| NPI | 1033214689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX H9858) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX H9858) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 57508) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-06-08 |