| NPI | 1013972207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35029575B) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35029575) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-12-13 |