| NPI | 1831500362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: WA MD61514271) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: WA MD61514271) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2024-08-08 |