| NPI | 1437175825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 3765861205) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: UT 3765861205) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2021-10-28 |