| NPI | 1326209776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 2015-02362) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: LA MD.205376) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC 38412) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2023-05-12 |