| NPI | 1215505441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ME MD30352) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 1023867) |
| 207ND0900X Dermatology, Dermatopathology (Licence: ME MD30352) | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2026-05-07 |