| NPI | 1710928429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301037565) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301037565) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301037565) | |
| 208D00000X General Practice (Licence: MI 4301037565) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2009-10-13 |