| NPI | 1083059950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 35667) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: GA 82525) |
| 207ZD0900X Pathology, Dermatopathology (Licence: GA 82525) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2020-00289) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2026-01-15 |