| NPI | 1215168745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35-122560) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35-122560) |
| 207N00000X Dermatology (Licence: CO DR.0055881) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: CO DR.0055881) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2017-04-24 |