| NPI | 1164493151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A98919) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 37672) |
| 207N00000X Dermatology (Licence: CA 98919) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A98919) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: GA 037672) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-02-16 |