| NPI | 1285844969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A1O4O75) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: CA A104075) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-11-30 |