| NPI | 1275628562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 30399) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME 0061199) |
| 207ZD0900X Pathology, Dermatopathology (Licence: FL ME 0061199) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: MN 30399) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |