| NPI | 1356407076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: CA A102254) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A102254) |
| 207N00000X Dermatology (Licence: CA A102254) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2013-08-27 |