| NPI | 1093032658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A120077) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A120077) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2020-10-22 |