| 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 |