| NPI | 1891176764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: TX T3295) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NE 29547) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2026-01-23 |