NPI | 1578848842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 90674) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC 187429) |
207ZD0900X Pathology, Dermatopathology (Licence: GA 90674) | |
207ZD0900X Pathology, Dermatopathology (Licence: TX Q3210) | |
Enumeration Date | 2011-10-18 |
Last Update Date | 2021-11-22 |