| NPI | 1043206527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 229776) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NY 001708) |
| 207ZD0900X Pathology, Dermatopathology (Licence: MA 229776) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-06-01 |