| NPI | 1912172776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 40992) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IA 40992) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2023-07-06 |