| NPI | 1396908216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 69262) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WI 69262) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-07-27 |