| NPI | 1962585596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301104187) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MI 4301104187) |
| 207ZD0900X Pathology, Dermatopathology (Licence: MI 4301104187) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-03-07 |