| NPI | 1336708056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MN 76357) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101271082) |
| 208D00000X General Practice (Licence: VA 0101271082) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-05-21 |