| NPI | 1265696538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX N3825) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX N3825) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2017-08-04 |