| NPI | 1417277807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2010016527) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MO 2010016527) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-03-16 |