| NPI | 1104864792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD00041937) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: WA MD00041937) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-11-17 |