| NPI | 1184851826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 260941) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA md449810) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MA 260941) | |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2014-10-14 |