| NPI | 1083736557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 03362) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: KY 03362) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MA 225607) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-01-13 |