| NPI | 1194719401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: IA 25448) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA 25448) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2007-12-19 |