| NPI | 1083903058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: WI 13616-320) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: WI 13616-320) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 13616-320) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125.060254) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME136900) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2025-08-26 |