| NPI | 1265689947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MO 2002030859) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: KS 04-34708) |
| 207ZD0900X Pathology, Dermatopathology (Licence: TX N4045) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2015-03-03 |