| NPI | 1457359945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35074047) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: OH 35074047) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2016-08-08 |