| NPI | 1891131769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: GA 102664) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX R6661) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2024-12-13 |