| NPI | 1174052856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD490992) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD490992) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2025-08-26 |