| NPI | 1215357355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX S0482) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX S0482) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-04-09 |