| NPI | 1144214016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 33197) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 33197) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CO 33197) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-08-27 |