| NPI | 1033538517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MN 59720) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NM MD2019-0217) |
| 207N00000X Dermatology (Licence: MN 59720) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-09-30 |