| NPI | 1023512852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 94983) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: GA 94983) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2023-11-09 |