| NPI | 1245307453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME130895) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME130895) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-04-24 |