| NPI | 1811285109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME114113) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL 15972) |
| 207ZD0900X Pathology, Dermatopathology (Licence: FL ME114113) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2017-07-21 |