| NPI | 1396767893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: GA 69403) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2003004218) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2003004218) | |
| 207ZD0900X Pathology Dermatopathology (Licence: MO 2003004218) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-04-19 |