| NPI | 1063603249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL MD.28090) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX BP1-0029875) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.28090) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2009-09-21 |