| NPI | 1356383608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: VA 0101039312) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101039312) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-09-11 |