| NPI | 1134149685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA12193000) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NY 240811) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 043346) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-07-03 |