| NPI | 1306101894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME156435) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL 22525) |
| 207R00000X Internal Medicine (Licence: OK 29028) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK 29028) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2023-04-03 |