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 |