| NPI | 1568495711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: OH 099881) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2006013744) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 104955) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 53377) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 099881) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-04-02 |