| NPI | 1124225693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA08553300) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA08553300) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-04-23 |