| NPI | 1003904285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME113349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN10079) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-01-23 |