NPI | 1134105588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: OH 35074121) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: OH 35074121S) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2015-06-26 |