| NPI | 1164423430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35059562) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: OH 35059562) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2013-05-24 |