| NPI | 1427213651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME139288) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2013017451) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MO 2013017451) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL ME139288) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2023-01-27 |