| NPI | 1548582182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AR E-7515) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 246539) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX training permit) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-7515) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2012-07-18 |