| NPI | 1336333475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A101071) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A101071) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A101071) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2026-07-09 |