| NPI | 1609864404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 227536) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IA 35061) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: IA 35061) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-12-15 |