| NPI | 1063600187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD445216) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A91506) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2012-05-16 |