| NPI | 1427269885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME109089) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MI 4301086274) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301086274) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-12-12 |