| NPI | 1063466621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD10812) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: RI MD10812) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-12-18 |