| NPI | 1184600520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: OH 35063275K) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35063275K) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-12-05 |