| NPI | 1457569642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA C151407) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: CA C151407) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2022-07-21 |