| NPI | 1306034582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: CO 49136) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: CO DR.0049136) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2021-02-08 |