| NPI | 1225477268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: CA 156270) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 156270) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2025-03-12 |