| NPI | 1083774681 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX P4943) | 
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX P4943) | 
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2019-02-06 |