| NPI | 1265563761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: WI 64617-20) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: WI 64617-20) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 36108283) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 64617-20) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-11-08 |