| NPI | 1437387024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 273756) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MA 273756) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 273756) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 47352) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2020-12-08 |