| NPI | 1942629720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME134374) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: FL ME134374) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-03-16 |