NPI | 1962897520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: CA A160479) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A160479) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2021-05-13 |