| NPI | 1558441352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: SD 7632) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: MN 40984) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 40984) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: SD 7632) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-02-25 |