| NPI | 1528385838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: GA 81200) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: GA 081200) |
| 207ZD0900X Pathology, Dermatopathology (Licence: NM MD2017-0474) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2017-0474) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2021-01-12 |