| NPI | 1417002239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX N8565) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: PA MD 427939) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD427939) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-12-13 |