| NPI | 1306059100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD439799) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 57.010912) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-03-17 |