| NPI | 1548286776 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2004009701)  | 
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MO 2004009701)  | 
| Enumeration Date | 2006-07-14 | 
| Last Update Date | 2010-08-12 |