| NPI | 1730382581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0102203334) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA 20A9360) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-08-24 |