| NPI | 1558789594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD463180) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: GA 82756) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2021-12-16 |