| NPI | 1164504122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: VA 0101249253) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MI 4301083177) |
| 207ZD0900X Pathology, Dermatopathology (Licence: NY 260405-01) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301083177) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101249253) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D71779) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-11-09 |