| 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 |