| NPI | 1164620670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MO 2013027447) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2013027447) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2024-03-07 |