NPI | 1669903431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NY 308254) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A172551) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2023-12-19 |