| NPI | 1598031767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 339358) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME132942) |
| 207ND0900X Dermatology, Dermatopathology (Licence: LA 339358) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2024-02-06 |