| NPI | 1417118886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 071698) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME112834) |
| 207ND0900X Dermatology, Dermatopathology (Licence: GA 071698) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2014-06-11 |