| NPI | 1922125756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: CT 043250) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: WA MD00043251) |
| 207ZD0900X Pathology, Dermatopathology (Licence: VA 0101240940) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA08212800) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: PA MD430861) | |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2007-07-08 |