| NPI | 1891080032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: IA MD-42439) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IA MD-42439) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-08-24 |