| NPI | 1417290461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NC 2018-01821) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2018-01821) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2025-12-09 |