| NPI | 1134431133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NE 28463) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NE 28463) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2016-02-29 |