| NPI | 1083009815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.135155) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: OH 35.135155) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-06-07 |