| NPI | 1083818884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX N3493) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PR 26080R) |
| 207ND0900X Dermatology, Dermatopathology (Licence: TX N3493) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-07-21 |