| NPI | 1114217569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35.149114) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME 126780) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2025-10-27 |