| NPI | 1184637605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A95019) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A95019) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2010-08-31 |