| NPI | 1790789154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX J7301) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX J7301) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2021-12-20 |