| NPI | 1346376050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 231315) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: MA 231315) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-03-21 |