| NPI | 1245320027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA C39629) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA C39629) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-04-21 |