| NPI | 1982903753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN MD0000054207) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: TN 54207) |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2018-02-19 |