| NPI | 1902291487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: VA 0101281155) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: RI MD17096) |
| 207ZC0500X Pathology, Cytopathology (Licence: VA 0101281155) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2025-08-12 |