NPI | 1245274331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX P1714) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A92649) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2012-11-27 |