| NPI | 1326393307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301100913) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WI 3482) |
| 207ZD0900X Pathology, Dermatopathology (Licence: WI 3482) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 3482) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-02-27 |