| NPI | 1053474759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 0101238821) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 0101238821) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-09-07 |