| NPI | 1033256821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX M4467) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX M4467) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-05-10 |