NPI | 1194783563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MA 227461) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 227461) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-05-06 |