| NPI | 1861914970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD472262) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: PA MD472262) |
| 207ZC0500X Pathology Cytopathology (Licence: PA MD472262) | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2024-06-13 |