| NPI | 1194950683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NY 266475) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD465852) |
| 207N00000X Dermatology (Licence: RI MD12915) | |
| 207N00000X Dermatology (Licence: NJ 25MA09071200) | |
| 207N00000X Dermatology (Licence: NY 266475) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA09071200) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: RI MA09071200) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: PA MD465852) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2021-09-23 |