| NPI | 1619167418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MO 2017044375) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2017044375) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2026-01-21 |