| NPI | 1407802549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX K0973) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX K0973) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-04-16 |