| NPI | 1295742864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology Cytopathology (Licence: KY 29039) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: KY 29039) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: KY 29039) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-02-25 |