| NPI | 1982612545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD423500) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD423500) |
| 207ZD0900X Pathology, Dermatopathology (Licence: DE C1-0008681) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NJ 25MA07865400) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: NY 231971) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-10-19 |