| NPI | 1215916051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35082855) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IN 01095781A) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2025-02-19 |