| NPI | 1497925127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 242070) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NY 242070) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 242070) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2024-06-17 |