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 |