| NPI | 1396191524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VA 0101264098) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: VA 0101264098) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2023-08-10 |