| NPI | 1083063549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CT 65087) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CT 65087) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-10-25 |