| NPI | 1093979866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: CA A104414) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: CA A104414) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2020-06-03 |