| NPI | 1740267780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: WI 40723) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WV 40723) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2015-05-01 |