| NPI | 1912120536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME 84171) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: CA A79245) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME84171) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2016-07-11 |