| NPI | 1861480980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 47041) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TN 47041) |
| 207ZD0900X Pathology, Dermatopathology (Licence: LA 200780) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA 200780) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-10-19 |