| NPI | 1013316330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 295853) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD468699) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 295853) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: PA MD468699) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2024-08-26 |