| NPI | 1417164492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA A111736) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 256888) |
| 207N00000X Dermatology (Licence: CA A111736) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 256888) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-03-07 |