| NPI | 1235237439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: ND 11626) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 48803) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: ND 11626) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-10-06 |