NPI | 1376529206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD418579) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD418579) |
207ND0900X Dermatology, Dermatopathology (Licence: PA MD418579) | |
Enumeration Date | 2005-12-22 |
Last Update Date | 2008-03-27 |