| NPI | 1457649139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: GA 076978) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: GA 076978) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 076978) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-01-12 |