| NPI | 1609852177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: PA MD421782) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: DE C1-0008614) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD421782) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2022-08-17 |