| NPI | 1588959894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: AZ 66057) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME138073) |
| 207ND0900X Dermatology Dermatopathology (Licence: FL ME138073) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2024-08-26 |