| NPI | 1285823245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 247428) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: MA 247428) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2012-08-03 |