| NPI | 1104059773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 275296) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NY 275296) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2017-01-03 |