| NPI | 1366739906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2011017331) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MO 2015001249) |
| 207ZD0900X Pathology, Dermatopathology (Licence: IL 036.158037) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036158037) | |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2021-09-21 |