| NPI | 1073582672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO 35520) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: CO 35520) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2014-03-18 |