| NPI | 1164684767 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD011903E) | 
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD011903E) | 
| Enumeration Date | 2008-06-26 | 
| Last Update Date | 2008-06-26 |