| NPI | 1790976983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX L5463) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX L5463) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2014-10-29 |