| NPI | 1629121801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MD D69130) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MD D69130) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MD D69130) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-12-10 |