| NPI | 1639173610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NY 233640) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME96601) |
| 207ZD0900X Pathology, Dermatopathology (Licence: PA MD418883) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: CA A97194) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: PR 16374) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2018-11-01 |