| NPI | 1609881168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: MA 230277) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: MA 230277) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |