| NPI | 1326080011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA md056213L) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD056213L) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-10 |