| NPI | 1689662033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX G0793) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: TX G0793) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2008-01-30 |