| NPI | 1548249329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME68000) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME68000) |
| 207ZD0900X Pathology, Dermatopathology (Licence: CO 32055) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: GA 65369) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-05-08 |