| NPI | 1295924454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0054253) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 55257) |
| 207ND0900X Dermatology Dermatopathology (Licence: MN 55257) | |
| 207R00000X Internal Medicine (Licence: OH 57013167) | |
| 207N00000X Dermatology (Licence: OH 57.013167) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2019-05-15 |