| NPI | 1063420602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NV 11040) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NV 11040) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |