| NPI | 1982722815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: CA A95389) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A95389) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A95389) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-11-22 |