| NPI | 1003202896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 68120) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NY 305311) |
| 207ZD0900X Pathology, Dermatopathology (Licence: WI 68120) | |
| 207N00000X Dermatology (Licence: NY 305311) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2024-03-25 |