| NPI | 1104020635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: TX M6465) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: NM MD 2009-0256) |
| 207ND0900X Dermatology Dermatopathology (Licence: AZ 45585) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-07-21 |