| NPI | 1275501959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: MD D0017574) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: DC MD3852) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-06-16 |