| NPI | 1073963997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TN 66159) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A152474) |
| 207N00000X Dermatology (Licence: TN 66159) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-11-16 |