| NPI | 1053380097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: NY 241507) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: DC MD32911) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-10-08 |