| NPI | 1508049438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: LA MD.205613) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA PGY.1.TUL-IM) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2012-11-05 |