| NPI | 1588284954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX V5273) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX V5273) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2025-09-16 |