| NPI | 1417210261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.131515) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: OH 35.131515) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SC LL 34849) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-07-21 |