| NPI | 1255316105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35068570) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35068570) |
| 207ZD0900X Pathology, Dermatopathology (Licence: OH 35068570) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-07-05 |