NPI | 1629121801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MD D69130) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MD D69130) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2013-02-19 |