| NPI | 1114981602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD00040961) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MN 35906) |
| 207ZD0900X Pathology, Dermatopathology (Licence: MO R7H57) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-09-28 |