| NPI | 1134515752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX T0424) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX T0424) |
| 207N00000X Dermatology (Licence: FL ME140643) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2026-01-29 |