| NPI | 1306334586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A166795) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A166795) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-10-15 |