| NPI | 1285817569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA A84455) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX M7845) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2018-12-21 |