| NPI | 1144229105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35034668) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-11-13 |