| NPI | 1194777086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 18472) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: SC 18472) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-10-31 |