| 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 |