| NPI | 1467602581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NY 230666-1) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 230666-1) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NJ 25MA08093300) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA08093300) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: AZ 42121) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: AZ 42121) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 062987) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: GA 062987) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2010-03-11 |