| NPI | 1720292493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301082064) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: MI 4301082064) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-06-12 |