| NPI | 1225011513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35076667) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.076667) |
| 207ND0900X Dermatology, Dermatopathology (Licence: OH 35.076667) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2016-10-31 |