| NPI | 1659958460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: MN 72010) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 31646) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MN 72010) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-06-17 |