| 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 |