| NPI | 1194033993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD450813) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: PA MD450813) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-08-30 |