| NPI | 1316216369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: ID M13198) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA MD60630664) |
| 207N00000X Dermatology (Licence: ID M13198) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: WA MD60630664) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2019-08-19 |