| NPI | 1689164832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 1019827) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MA 1017784) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2025-08-14 |