| NPI | 1376832188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH 35.133794) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY 49073) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2025-05-19 |