NPI | 1811204399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME107488) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME107488) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2013-11-19 |