| NPI | 1215490917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX U2486) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX U2486) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-07-22 |