| NPI | 1326719071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 79143) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MA 3020116) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2026-05-09 |