| NPI | 1154408763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: CA G64369) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA C64369) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C64369) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-04-06 |