| NPI | 1073772810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 097416) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT190528) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2020-12-30 |