| NPI | 1639318223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301099342) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 232305) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301099342) | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2011-08-26 |