NPI | 1548350218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AZ 33877) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 33877) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-04-09 |