| NPI | 1710217971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: TX P9872) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX P9872) |
| 207ZP0213X Pathology Pediatric Pathology (Licence: TX P9872) | |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2018-08-27 |